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Individual

CHELSEA G WITTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
11512 LAKE MEAD AVE, JACKSONVILLE, FL 32256-9680
(904) 652-5408
Mailing address
2121 GRASSY BASIN CT, JACKSONVILLE, FL 32224-1371
(904) 613-7496

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11136
FL

Other

Enumeration date
08/07/2013
Last updated
08/07/2013
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